Individual provider Active NPI

Kamica Ross Hatchett, CRNA

  • Certified Registered Nurse Anesthetist
  • Ellenwood, GA
National Provider Identifier
1336507185
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
700506 Issued in GA
Practice address
4238 Ridgetop Dr
Ellenwood, GA 30294-1908
Phone
(404) 272-2425
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 700506 GA Primary

Addresses

Primary practice location

4238 Ridgetop Dr
Ellenwood, GA 30294-1908

Mailing address

4238 Ridgetop Dr
Ellenwood, GA 30294-1908
Phone (404) 272-2425

Other practice location 1

5246 Snapfinger Park Dr
Decatur, GA 30035-4044
Phone (678) 533-6120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427001712 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799084695 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azura Anesthesia Partners LLCGroup PAC ID 6608281167, 21 clinicians

Practice addresses (Care Compare)

5246 Snapfinger Park Dr
Decatur, GA 30035-4044
Phone (678) 533-6120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
700506GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Nov 25, 2021 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Azura Anesthesia Partners LLC CurrentSince Dec 20, 2025 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Dec 30, 2021 Accepting new patients
JC Anesthesia LLC CurrentSince May 8, 2019 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

5246 Snapfinger Park Dr
Decatur, GA 30035
Phone (678) 533-6120

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

5669 Ptree Dunwoody Rd NE
Ste 210
Sandy Springs, GA 30342
Phone (404) 255-4333

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1336507185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 RIDGETOP DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941908",
            "telephone_number": "404-272-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 RIDGETOP DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941908",
            "telephone_number": "404-272-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5246 Snapfinger Park Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300354044",
            "country_code": "US",
            "telephone_number": "678-533-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCHETT",
        "first_name": "KAMICA",
        "middle_name": "ROSS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "700506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.